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Improving type 1 diabetes management with mobile tools: a systematic review.
1Department of Health Management and Informatics, School of Medicine, University of Missouri, Columbia, MO, USA atpvyc@mail.missouri.edu.
Journal of Diabetes Science and Technology
|May 31, 2014
Summary
Mobile health tools show promise for improving glycemic control in type 1 diabetes mellitus patients. While many studies reported successful interventions and decreased A1C levels, further research is needed to confirm efficacy.
Area of Science:
- Medical Informatics
- Endocrinology
- Diabetes Management
Background:
- Type 1 diabetes mellitus requires continuous glycemic control.
- Mobile health (mHealth) tools offer potential for patient self-management.
- Existing literature on mHealth efficacy for glycemic control needs synthesis.
Purpose of the Study:
- To evaluate the effectiveness of mobile health tools in achieving glycemic control for type 1 diabetes mellitus patients.
- To synthesize findings from studies using various mHealth interventions.
Main Methods:
- Systematic review of research articles from PubMed, Ovid (Medline), and CINAHL (2005-2013).
- Inclusion criteria focused on type 1 diabetes populations and mHealth interventions measuring glycemic control via A1C.
- Extracted descriptive data, A1C differences, and statistical significance from 14 selected articles.
Main Results:
- Interventions included "Internet," "Mobile," "Mobile and Internet," "Phone," and "Videoconference and phone" categories.
- Twelve studies reported a decrease in A1C values.
- Seven studies reported statistically significant improvements in glycemic control.
- Eleven of 14 authors (79%) reported successful interventions.
Conclusions:
- Mobile health tools demonstrate promising initial results for improving glycemic control in type 1 diabetes.
- Current evidence is inconclusive, necessitating further investigation.
- More direct efficacy measures and rigorous study designs are required for reliable results.
